| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,932 |
1,671 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,902 |
1,622 |
$64K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
386 |
310 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
144 |
120 |
$3K |
| 96127 |
|
596 |
512 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
894 |
773 |
$1K |
| 90674 |
|
65 |
50 |
$863.69 |
| 3008F |
|
106 |
71 |
$830.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
31 |
$808.45 |
| 99406 |
|
74 |
55 |
$342.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
41 |
$258.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
14 |
$217.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
27 |
$184.19 |
| 90686 |
|
13 |
13 |
$140.86 |
| 90756 |
|
12 |
12 |
$120.55 |
| 81002 |
|
14 |
13 |
$35.86 |
| 96160 |
|
12 |
12 |
$4.36 |
| G0008 |
Administration of influenza virus vaccine |
16 |
14 |
$0.00 |